Active NPI
Richard T Honderick, DO
- Family Medicine Physician
- Springfield, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- R8D84
- Practice address
- 3231 S National Ave
Suite 280
Springfield, MO 65807-7304 - Phone
- (417) 885-0834
- Fax
- (417) 888-6763
- NPI assigned
- Feb 7, 2007
- Last updated
- Oct 3, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R8D84 | MO | Primary |
Addresses
Primary practice location
3231 S National Ave
Suite 280
Springfield, MO 65807-7304
Mailing address
PO Box 2580
Springfield, MO 65801-2580
Phone (417) 829-4620
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82536 | Other | AR | ARK BLUE SHIELD |
| 21571 | Other | MO | MO BLUE SHIELD |
| 242001022 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Services Iowa City, Inc. | Family Medicine | Current | Accepting new patients |
| Mercy Services Iowa City, Inc. | Current | Accepting new patients | |
| Mercy Services Iowa City, Inc. | Current | Accepting new patients | |
| Mercy Services Iowa City, Inc. | Current | Accepting new patients | |
| Mercy Services Iowa City, Inc. | Current | Accepting new patients | |
| Mercy Services Iowa City, Inc. | Current | Accepting new patients | |
| Mercy Hospital, Iowa City, Iowa | Current | Accepting new patients | |
| Ozarks Medical Center | Family Medicine | Past | Accepting new patients |
Locations
269 N 1st Ave
Iowa City, IA 52245
Phone (319) 339-3541
503 3rd St
Kalona, IA 52247
Phone (319) 656-3151
510 W Main St
Ste A
Solon, IA 52333
Phone (319) 624-2991
56 Cedar St
Tipton, IA 52772
Phone (319) 886-2195
206 Cookson Dr
West Branch, IA 52358
Phone (319) 643-2516
Interoperability endpoints
- richardhonderick@mic.allscriptsdirect.net
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Mercy Hospital
- General Acute Care Hospital
- Iowa City, IA
- NPI 1982664124
-
- Rural Health Clinic/Center
- North English, IA
- NPI 1457863318
-
- Primary Care Clinic/Center
- West Liberty, IA
- NPI 1477065332
-
- Primary Care Clinic/Center
- Tipton, IA
- NPI 1487791059
-
- Multi-Specialty Clinic/Center
- Iowa City, IA
- NPI 1740213206
-
- Primary Care Clinic/Center
- West Branch, IA
- NPI 1972640449
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412294400000",
"number": "1447390893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2580",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658012580",
"telephone_number": "417-829-4620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3231 S NATIONAL AVE",
"address_2": "SUITE 280",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658077304",
"telephone_number": "417-885-0834",
"fax_number": "417-888-6763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HONDERICK",
"first_name": "RICHARD",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-07",
"last_updated": "2014-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "R8D84",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARK BLUE SHIELD",
"identifier": "82536",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MO BLUE SHIELD",
"identifier": "21571",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "242001022",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MO
- Home Health of the Ozarks
- Home Medical Supply of Poplar Bluff, Inc.
- Homecare Providers Group LLC
- Michelle L. Homesley, FNP
- Hometown Medical Group, LLC
- Bob Honicutt
- Honour Brite LLC (Eustasis Psychiatric and Addiction Health)
- Diane Elaine Hood, ATC LMT
- Jeanna Suzanne Hood, APRN, RN
- Shari Lynn Hood, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.